Background: This study aims to compare the results of hybrid
procedure and open surgery for the treatment of aortic arch aneurysms.

Methods: Twenty-six p atients (21 m ales, 5 females; m ean a ge
56.6±12.4 years; range, 20 to 83 years) who underwent total
aortic arch replacement for aortic arch aneurysm between
January 2004 and January 2010 were retrospectively analyzed.
The patients were divided into two groups: open conventional
surgery group (group 1, n=15) and hybrid procedure
(total debranching of the aortic arch and simultaneous
endovascular stent) group (group 2, n=11). Survival rates and
need for reoperation were compared between the groups.

Results: The hybrid procedure was found to be more favorable
in terms of postoperative revision, extubation period, and
drainage amounts. However, there was no statistically significant
difference in the survival rates, need for reoperation, and major
adverse cardiovascular events between the groups.

Conclusion: Our study results suggest that conventional open
surgery and hybrid procedure are similar in terms of survival and
short-to-mid-term results in patients undergoing total aortic arch
replacement for aortic arch aneurysm.

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